Open AccessEXPERIENCE IN APPLYING A NEW APPROACH TO INSTALLING A MESH PROSTHESIS TRANSVAGINALLY IN SURGERY FOR GENITAL PROLAPSE
Author(s) -
А. И. Коркан,
M.V. Laktionova
Publication year - 2020
Publication title -
reproduktivnaâ medicina
Language(s) - English
Resource type - Journals
eISSN - 2960-1665
pISSN - 2303-9949
DOI - 10.37800/rm2020-1-1
Subject(s) - medicine , prosthesis , fascia , sex organ , surgery , uterine prolapse , urinary incontinence , stress incontinence , genetics , biology
The article presents a retro and prospective analysis of 173 cases of surgical treatment of genital prolapse since June 2013. - June 2019. Their 75 of them were operated according to the concept developed by us and 92 cases of laparoscopic access for control. The new concept is to model the prosthesis intraoperatively, with a mesh size of 4 * 4 cm with a shoulder length of 10 cm on each side, which is optimal for eliminating cystocele and, in some cases, apical prolapse. The number of repeated interventions during reposition of the pubo-cervical fascia was in 4 cases, with the development of stress urinary incontinence de novo (5.3%, Pearson’s criterion, X² = 0.053 / P> 0.05). Vaginal mesh erosion was statistically significant in number (8 cases (10.6%), F = 0.035799 / OR = 7.88 / ξ2 = 5.02 /), however, only 6 cases had to be excised (F = 0.119886 / OR = 5.74 / ξ2 = 3.2 / P> 0.05). Thus, the new concept of using prostheses for transvaginal treatment of prolapse can be considered effective and safe.